A patient with diarrhea is incontinent of liquid stool. The nurse documents that he now has excoriated skin on his buttocks. Which finding by the nurse led to this documentation?
a. Skin was softened from prolonged exposure to moisture.
b. Superficial layers of skin were absent.
c. Epidermal layer of skin was rubbed away.
d. Lesion caused by tissue compression was present.
ANS: B
You might also like to view...
If solely for this reason, Medicare will not cover home health aide visits. What is that reason?
a. Physical assistance b. Physician orders c. Personal care d. Household chores
The nurse assesses an indication of hearing loss when a 3-month-old baby:
a. Does not babble unintelligible sounds b. Does not cry when startled by an extremely loud sound c. Does not turn the head toward a sound d. Frequently pulls at the ears
When interviewing for a position,
A) be neat, clean, and on time. B) inquire about salary and benefits as soon as you arrive. C) let the interviewer know that you are applying at several facilities. D) give them your résumé so you do not have to complete an application.
When discussing hyperlipidemia with a group of adolescents, the nurse should explain that high levels of what substance are thought to protect against cardiovascular disease?
a. Cholesterol c. Low-density lipoproteins (LDLs) b. Triglycerides d. High-density lipoproteins (HDLs).